Medicare Subsidy Quality Review

OMB 0960-0707

The Medicare Modernization Act of 2003 mandated the creation of the Medicare Part D prescription drug coverage program and provided for certain subsidies for eligible Medicare beneficiaries to help pay for the costs of prescription drugs. As part of its stewardship duties of the Medicare Part D subsidy program, SSA must conduct periodic quality review checks of the information Medicare beneficiaries report on their subsidy applications (Form SSA-1020). SSA uses the Medicare Quality Review program to conduct these checks.

The latest form for Medicare Subsidy Quality Review expires 2021-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-9314 SSA-9314 Form and Instruction
Form SSA-9313 SSA-9313 Form and Instruction
Form SSA-9310 SSA-9310 Form and Instruction
Form SSA-9308 SSA-9308 Form and Instruction
Form SSA-9312 SSA-9312 Form and Instruction
Form SSA-9311 SSA-9311 Form and Instruction
Justification for Non-Substantive Changes - 0707 (Forms 9301 9302 9303 9313 9314) (clean).docx Justification for No Material/Nonsubstantive Change
Supporting Statement - 0707.docx Supporting Statement A
SSA-9301 Other-Telephone Interview Script
SSA-9314 Form and Instruction
SSA-9313 Form and Instruction
SSA-9310 Form and Instruction
SSA-9308 Form and Instruction
SSA-9312 Form and Instruction
SSA-9311 Form and Instruction
SSA-9303 Instruction
SSA-9302 Instruction

All Historical Document Collections

202306-0960-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-07-20
202010-0960-008 Approved without change	Revision of a currently approved collection	2021-01-28
201706-0960-007 Approved without change	Revision of a currently approved collection	2017-10-20
201407-0960-004 Approved without change	Revision of a currently approved collection	2014-10-06
201110-0960-005 Approved without change	Revision of a currently approved collection	2012-01-19
201108-0960-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-08-31
200812-0960-011 Approved without change	Revision of a currently approved collection	2008-12-31
200708-0960-007 Approved with change	Revision of a currently approved collection	2007-09-18
200704-0960-001 Approved with change	No material or nonsubstantive change to a currently approved collection	2007-04-03
200612-0960-015 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2006-12-29
200602-0960-007 Approved with change	Revision of a currently approved collection	2006-02-10
200507-0960-001 Approved with change	New collection (Request for a new OMB Control Number)	2005-07-06

OMB Details

SSA-9301

Federal Enterprise Architecture: Income Security - General Retirement and Disability